HomeMy WebLinkAboutChange of Contractor _ PLANNING & DEVELOPMENT SERVI
- - BUILDING & ZONING DIVISION RECEIV/
2300 VIRGINIA AVE AUG 0 2 2019
FORT PIERCE, FL 34982
(772) 462-1553 FAX 462-1578 �• Lucie County, Permitting
CHANGE OF CONTRACTOR, SUBCONTRACTOR OR CANCELLATION OF PERMT
PLEASE SELECT ONE OF THE FOLLOWING:
CHANGE OF CONTRACTOR—Change of Contractor is to be signed and notarized by the property owner,
and the new contractor of record for the current permit. A new permit application must also be completed with new
contractor information and signature. A new Notice of Commencement must be filed in the new contractor's name
for job values greater than $2,500 ($7,500 if A/C Change-out). A recorded copy must be submitted prior to
commencing any work.There is a $50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR—Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub-
Contractor.
CANCELLATION OF PERMIT—The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: 6� Permit Number: , !102- a?o/
Site Address:���
lev 12S Z �. (el� State License SLC License
Original GC,subcontractor or ownerlbuilder
State LicenseQwYV `/�
6 1SLC License
New GC,subcontractor I I
Reason for Cancellation ! I , k�
The undersigned does hereby agree to indemnify and old harmless St Lucie County,its officers,agents and employees from all
costs,fees or damages arising from any and all claims of action for any reason,which may arise as a result of this change of
cc tracto co a for or cancellation of permit.A permit cannot be cancelled if work has been performed.
SIGNA OWNER,((oor ownMer/buildder) SIGNATURE GENERAL CONTRACTOR(or new GC,as applicable)
PRINT NAME Lr I 1 1� 1�I C� PRINT NAME
State of Florida,County of St.Lucie County State of Florida,County of St.Lucie County
The following iW"dl ent was ackno ledged before me this The following instrument was acknowledged before me this
day of 20n by day of ,20_,by
k who' ersonally known to me who is personally known to
or who produc d�, a me or who has produced as ID.
'gnature of Notary Date nature of Notary Date
ipPy o�
KAREN S. N:GG
SEN
;_� e��-State of Florida y Public
Revised 04/15/16 = Commission # 07484
P My Commissixpires
°;,`,�� June 12, 2
Lydia Galbraith
From: Monica Graziani
Sent: Thursday, February 16, 2017 3:00 PM
To: Lydia Galbraith
Subject: 1702-0301
Hi Lydia,
Can you please pull the above permit and do the review on it. It is a dock. The owner is having a memorial service for
his son who passed. When done,give to me. Thanks.
Kindest Regards,
Monica Graziani
Building and Code Regulation Manager
Planning & Development Services
St. Lucie County, Florida
772-462-1599
grazianim@stlucieco.org
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